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From Personalized Medicine to Personalized Aging Services.
Allen Glicksman1, Misha Rodriguez2, Lauren Ring3
1Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Innovation in Aging
|December 17, 2021
Summary
Medical models for long-term care services and support (LTSS) often overlook diverse life experiences and social determinants of health. Integrating cultural beliefs and migration experiences is crucial for improving LTSS access for older adults.
Area of Science:
- Gerontology
- Public Health
- Sociology
Background:
- Medical models are increasingly used for long-term care services and support (LTSS) planning.
- These models may not adequately address diversity and disadvantage impacting older adults' access to care.
- Individual health is influenced by life experiences beyond immediate medical status.
Purpose of the Study:
- To evaluate if current medical models for LTSS sufficiently account for diversity and disadvantage.
- To explore the impact of life experiences, values, beliefs, and assumptions on LTSS utilization.
- To highlight the specific needs of older migrant communities within LTSS frameworks.
Main Methods:
- Qualitative analysis of factors influencing LTSS access and decision-making.
- Review of existing medical models for LTSS provision.
- Exploration of social determinants of health and cultural influences.
Main Results:
- Medical models often prioritize current health status, potentially missing crucial social determinants of health.
- Values, beliefs, and assumptions, particularly from migration experiences, significantly affect older adults' trust and LTSS use.
- Older migrant communities face unique challenges influenced by their origins and migration journey.
Conclusions:
- Current medical models for LTSS require enhancement to incorporate social determinants of health.
- Understanding and integrating cultural beliefs and migration experiences is essential for equitable LTSS.
- Future LTSS models must be person-centered, acknowledging the holistic life experiences of older adults.
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